PAEDIATRICS-PAGE 2
PAEDIATRICS MCQ
1:-Principle of complimentary feeding includes all except
A:-Introduce one food at a time B:-Iron containing foods are required
C:-Sugar sweetened beverages should be given to meet energy requirements D:-Phytate intake should be low
Ans: C
2:-All of the following meet clinical diagnostic criteria for neurofibromatosis type-1 except
A:-six café au lait spots more than 5 mm in diameter in prepubertal individuals B:-two or more neurofibromas
C:-one café au lait spot more than 10 mm in diameter in post pubertal individuals D:-two or more iris hamartomas
Ans: C
3:-Which drug is contraindicated in hepatic dysfunction?
A:-erythromycin B:-ampicillin C:-cefotaxime D:-amoxycillin
Ans: A
4:-A child with severe malnutrition with severe dehydration and no evidence of shock WHO recommended fluid therapy is
A:-RL with 5% dextrose B:-Half normal saline with 5% dextrose
C:-Half strength Darrow solution with 5% dextrose D:-Oral or nasogastric Resomal
Ans: D
5:-In Pantothenate kinase associated neurodegeneration there is accumulation of ___________ in brain.
A:-Copper B:-Iron C:-Zinc D:-Calcium
Ans: B
6:-Most common heart disease in foetal alcohol syndrome
A:-VSD B:-ASD C:-Fallots Tetralogy D:-PDA
Ans: A
7:-Symptoms suggestive of imminent exacerbation of asthma include all except
A:-increased day time cough B:-day time wheeze C:-night-time beta 2 agonist use D:-night time cough
Ans: D
8:-The Phalangeal depth ratio in normal subjects is
A:-<1 B:-equal to one C:->1 D:->1.5
Ans: A
9:-Recurrent pneumonia is characterised by
A:-2 or more episodes in a single year B:-6 or more episodes ever
C:-4 or more episodes in a single year D:-4 or more episodes ever
Ans: A
10:-Compared to the apex of the lung, at the base of the lung
A:-Blood flow is lowest B:-Ventilation is lowest C:-V/Q is highest D:-Alveolar `"PCO_2"` is highest
Ans: D
11:-Preoperative fasting order for breast milk in an infant is
A:-Minimum of 6 hrs of fasting B:-Minimum 4 hrs fasting C:-No fasting is required D:-Minimum of 2 hrs
Ans: B
12:-In central precocious puberty one is false
A:-Osseous maturation is retarded
B:-Greater diagnostic power when LH is obtained during sleep
C:-Serum testerone levels are elevated
D:-Hypothalamic hamartomas are the most common brain lesion causing central precocious puberty
Ans: A
13:-In Kocher-Debre-Semelaigne syndrome one is not true
A:-The muscles are hypotonic B:-There is generalised muscular pseudohypertrophy
C:-Girls are more affected D:-Affected patients have hypothyroidism of longer duration
Ans: C
14:-Highest incidence of pseudomenbranous enterocolitis has been noted with the use of
A:-Cephalosporins B:-Carbepenems C:-Vancomycin D:-Clindamycin
Ans: D
15:-In Klinifelter syndrome one is false
A:-80% of them have a 47, XXY chromosome compliment B:-Cryptorchidism is common
C:-Adults have Gynecomastia D:-Serum LH and FSH concentration are low at round 13 years of age
Ans: D
16:-Cyanosis with left axis deviation in ECG is suggestive of
A:-TOF B:-Tricuspid atresia C:-Ebsteins anomaly D:-Trans position of great arteries
Ans: B
17:-Innocent murmurs one of the following is not a feature
A:-Short ejection systolic murmur
B:-Radiation to apex
C:-Best heard in the left lower sternal border
D:-Intensity of murmur changes with respiration
Ans: B
18:-Infective endocarditis is not seen in
A:-ASD B:-TOF C:-VSD D:-MR
Ans: A
19:-If the venous pH is 7.45, then the arterial pH is
A:-7.42 B:-7.48 C:-7.44 D:-7.49
Ans: B
20:-Most common type of tracheo-oesophageal fistula
A:-Type A B:-Type B C:-Type C D:-Type D
Ans: A
21:-Commonest aetiology for chronic kidney disease in children
A:-Congenital anomaly of kidney and urinary tract B:-Haemolytic uremic syndrome
C:-Focal segmental glomerular sclerosis D:-IgA Nephropathy
Ans: A
22:-In minimal change disease in children after the first remission what is the percentage of relapse
A:-10-20% B:-30-40% C:-50-60% D:-70-75%
Ans: D
23:-Megalocornea is defined as a non progressive symmetric condition characterized by an enlarged cornea more than
A:-10 mm B:-12 mm C:-14 mm D:-8 mm
Ans: B
24:-Clearing of the external auditory canal is done by all except one
A:-Self-cleaning by the squamous migration of the ear canal skin
B:-Parental clearing of the cerumen with cotton swab
C:-By the surgical head of the otoscope
D:-Gentle suction with a suction tube
Ans: B
25:-The duration of treatment of acute otitis media in children is
A:-7 days B:-5 days C:-10 days D:-14 days
Ans: C
26:-In FSGS pathological changes are most prominent in glomeruli located at
A:-outer cortex B:-middle cortex
C:-corticomedullary junction D:-inner cortex
Ans: C
27:-Tonsil is derived from
A:-2nd cleft B:-3rd cleft
C:-2nd pouch D:-1st pouch
Ans: C
28:-Cetyl trimethyl ammonium Bromide test is done for
A:-Phenylketonuria
B:-Mucopolysaccharidosis
C:-Maple syrup urine disease
D:-Lactic acidosis
Ans: B
29:-Which one of the following features is a factor in the pathogenesis of (paroxysmal nocturnal hemoglobinuria) PNH?
A:-an acquired mutation in the ANK1 gene
B:-defective haemoglobin
C:-reduced expression of CD55 and CD59 on the surface of hematopoietic cells
D:-weakened interaction between the red cell membrane and the cytoskeleton
Ans: C
30:-In nutritional anaemia the first parameter most often altered
A:-MCV B:-MCH C:-RDW D:-Haemoglobin
Ans: C
31:-The long antero posterior diameter of the eye causes
A:-astigmatism B:-amblyopia C:-myopia D:-hyperopia
Ans: C
32:-The time limit for infusion of platelet concentrate from start to completion is
A:-within 2 hours B:-within 20 mts C:-within 4 hours D:-within 1 hour
Ans: B
33:-When an individual with multiple cognitive disabilities has extraordinary proficiency in one isolated skill, this is known as A:-Rainman syndrome B:-Asperger syndrome C:-Intellectual isolation D:-Savant syndrome
Ans: D
34:-In new-born with galactosemea which is the organism producing sepsis
A:-Streptococcus B:-Staphylococcus C:-E.coli D:-Klebsiella
Ans: C
35:-Which of the following is a topographical model of mind by Freud?
A:-Id-Ego-Supergo B:-Unconscious-Preconscious-Conscious
C:-Regression-repression-suppression D:-Denial-Rationalization-Projection
Ans: B
36:-Which one of the following investigation is most likely to identify a specific genetic cause in a dysmorphic child?
A:-PCR B:-Family history C:-Birth history D:-Microarray
Ans: D
37:-The laboratory test useful for assessing the function of vWf is
A:-platelet aggregation test B:-prothrombin time C:-ristocetin aggregation test D:-clotting time
Ans: C
38:-Which one of the following is not a risk factor for developmental dysplasia of the hip?
A:-older sibling with DDH B:-the presence of spina bifida C:-female gender D:-severe ologohydraminos
Ans: C
39:-Subcutaneous fat necrosis in newborn is associated with
A:-hypernatremia B:-hypocalemea C:-hypercalcemea D:-hyponatremea
Ans: C
40:-Stein bergs sign is seen in
A:-Pseudoxanthoma elasticum B:-Ehlers Danlos syndrome C:-Marfan syndrome D:-Blooms syndrome
Ans: C
41:-Darier's sign is seen in
A:-Dermatophytosis B:-Histiocytosis C:-Mastocytosis D:-Pemphigus
Ans: C
42:-Child with frog like position and resistance to move the limbs has
A:-Scurvy B:-Rickets C:-Trauma D:-Congenital dislocation
Ans: A
43:-Paniculitis is
A:-Infection of the subcutaneous fat B:-Infection of the hair follicle
C:-Inflammation of epidermis D:-Infection of the sebaceous glands
Ans: A
44:-When does a child walk up and down stairs without help?
A:-13 months B:-15 months C:-18 months D:-24 months
Ans: D
45:-When do children perform a unilateral reach?
A:-4 months B:-6 months C:-7 months D:-8 months
Ans: B
46:-Net protein utilisation of egg is
A:-100 B:-95 C:-90 D:-80
Ans: A
47:-The term which encompasses the provision of splints and appliances which improve the function and appearance of a patient A:-Orthosis B:-Prosthetics
C:-Orthotics D:-Walking aids
Ans: C
48:-Profound hearing loss is hearing loss
A:-above 40 decibels B:-above 90 db C:-above 110 db D:-above 60 db
Ans: B
49:-Any loss or abnormality of psychological, physiological or anatomical structure or function is called
A:-disability B:-handicap C:-impairement D:-damage
Ans: C
50:-A 5 month old presented with hypoglycaemia, mild growth retardation, micropenis, the diagnosis can be
A:-Growth hormone deficiency B:-Fatty acid oxidation defect C:-Glycogen storage disorder D:-Hyperinsulinism
Ans: A
A:-Introduce one food at a time B:-Iron containing foods are required
C:-Sugar sweetened beverages should be given to meet energy requirements D:-Phytate intake should be low
Ans: C
2:-All of the following meet clinical diagnostic criteria for neurofibromatosis type-1 except
A:-six café au lait spots more than 5 mm in diameter in prepubertal individuals B:-two or more neurofibromas
C:-one café au lait spot more than 10 mm in diameter in post pubertal individuals D:-two or more iris hamartomas
Ans: C
3:-Which drug is contraindicated in hepatic dysfunction?
A:-erythromycin B:-ampicillin C:-cefotaxime D:-amoxycillin
Ans: A
4:-A child with severe malnutrition with severe dehydration and no evidence of shock WHO recommended fluid therapy is
A:-RL with 5% dextrose B:-Half normal saline with 5% dextrose
C:-Half strength Darrow solution with 5% dextrose D:-Oral or nasogastric Resomal
Ans: D
5:-In Pantothenate kinase associated neurodegeneration there is accumulation of ___________ in brain.
A:-Copper B:-Iron C:-Zinc D:-Calcium
Ans: B
6:-Most common heart disease in foetal alcohol syndrome
A:-VSD B:-ASD C:-Fallots Tetralogy D:-PDA
Ans: A
7:-Symptoms suggestive of imminent exacerbation of asthma include all except
A:-increased day time cough B:-day time wheeze C:-night-time beta 2 agonist use D:-night time cough
Ans: D
8:-The Phalangeal depth ratio in normal subjects is
A:-<1 B:-equal to one C:->1 D:->1.5
Ans: A
9:-Recurrent pneumonia is characterised by
A:-2 or more episodes in a single year B:-6 or more episodes ever
C:-4 or more episodes in a single year D:-4 or more episodes ever
Ans: A
10:-Compared to the apex of the lung, at the base of the lung
A:-Blood flow is lowest B:-Ventilation is lowest C:-V/Q is highest D:-Alveolar `"PCO_2"` is highest
Ans: D
11:-Preoperative fasting order for breast milk in an infant is
A:-Minimum of 6 hrs of fasting B:-Minimum 4 hrs fasting C:-No fasting is required D:-Minimum of 2 hrs
Ans: B
12:-In central precocious puberty one is false
A:-Osseous maturation is retarded
B:-Greater diagnostic power when LH is obtained during sleep
C:-Serum testerone levels are elevated
D:-Hypothalamic hamartomas are the most common brain lesion causing central precocious puberty
Ans: A
13:-In Kocher-Debre-Semelaigne syndrome one is not true
A:-The muscles are hypotonic B:-There is generalised muscular pseudohypertrophy
C:-Girls are more affected D:-Affected patients have hypothyroidism of longer duration
Ans: C
14:-Highest incidence of pseudomenbranous enterocolitis has been noted with the use of
A:-Cephalosporins B:-Carbepenems C:-Vancomycin D:-Clindamycin
Ans: D
15:-In Klinifelter syndrome one is false
A:-80% of them have a 47, XXY chromosome compliment B:-Cryptorchidism is common
C:-Adults have Gynecomastia D:-Serum LH and FSH concentration are low at round 13 years of age
Ans: D
16:-Cyanosis with left axis deviation in ECG is suggestive of
A:-TOF B:-Tricuspid atresia C:-Ebsteins anomaly D:-Trans position of great arteries
Ans: B
17:-Innocent murmurs one of the following is not a feature
A:-Short ejection systolic murmur
B:-Radiation to apex
C:-Best heard in the left lower sternal border
D:-Intensity of murmur changes with respiration
Ans: B
18:-Infective endocarditis is not seen in
A:-ASD B:-TOF C:-VSD D:-MR
Ans: A
19:-If the venous pH is 7.45, then the arterial pH is
A:-7.42 B:-7.48 C:-7.44 D:-7.49
Ans: B
20:-Most common type of tracheo-oesophageal fistula
A:-Type A B:-Type B C:-Type C D:-Type D
Ans: A
21:-Commonest aetiology for chronic kidney disease in children
A:-Congenital anomaly of kidney and urinary tract B:-Haemolytic uremic syndrome
C:-Focal segmental glomerular sclerosis D:-IgA Nephropathy
Ans: A
22:-In minimal change disease in children after the first remission what is the percentage of relapse
A:-10-20% B:-30-40% C:-50-60% D:-70-75%
Ans: D
23:-Megalocornea is defined as a non progressive symmetric condition characterized by an enlarged cornea more than
A:-10 mm B:-12 mm C:-14 mm D:-8 mm
Ans: B
24:-Clearing of the external auditory canal is done by all except one
A:-Self-cleaning by the squamous migration of the ear canal skin
B:-Parental clearing of the cerumen with cotton swab
C:-By the surgical head of the otoscope
D:-Gentle suction with a suction tube
Ans: B
25:-The duration of treatment of acute otitis media in children is
A:-7 days B:-5 days C:-10 days D:-14 days
Ans: C
26:-In FSGS pathological changes are most prominent in glomeruli located at
A:-outer cortex B:-middle cortex
C:-corticomedullary junction D:-inner cortex
Ans: C
27:-Tonsil is derived from
A:-2nd cleft B:-3rd cleft
C:-2nd pouch D:-1st pouch
Ans: C
28:-Cetyl trimethyl ammonium Bromide test is done for
A:-Phenylketonuria
B:-Mucopolysaccharidosis
C:-Maple syrup urine disease
D:-Lactic acidosis
Ans: B
29:-Which one of the following features is a factor in the pathogenesis of (paroxysmal nocturnal hemoglobinuria) PNH?
A:-an acquired mutation in the ANK1 gene
B:-defective haemoglobin
C:-reduced expression of CD55 and CD59 on the surface of hematopoietic cells
D:-weakened interaction between the red cell membrane and the cytoskeleton
Ans: C
30:-In nutritional anaemia the first parameter most often altered
A:-MCV B:-MCH C:-RDW D:-Haemoglobin
Ans: C
31:-The long antero posterior diameter of the eye causes
A:-astigmatism B:-amblyopia C:-myopia D:-hyperopia
Ans: C
32:-The time limit for infusion of platelet concentrate from start to completion is
A:-within 2 hours B:-within 20 mts C:-within 4 hours D:-within 1 hour
Ans: B
33:-When an individual with multiple cognitive disabilities has extraordinary proficiency in one isolated skill, this is known as A:-Rainman syndrome B:-Asperger syndrome C:-Intellectual isolation D:-Savant syndrome
Ans: D
34:-In new-born with galactosemea which is the organism producing sepsis
A:-Streptococcus B:-Staphylococcus C:-E.coli D:-Klebsiella
Ans: C
35:-Which of the following is a topographical model of mind by Freud?
A:-Id-Ego-Supergo B:-Unconscious-Preconscious-Conscious
C:-Regression-repression-suppression D:-Denial-Rationalization-Projection
Ans: B
36:-Which one of the following investigation is most likely to identify a specific genetic cause in a dysmorphic child?
A:-PCR B:-Family history C:-Birth history D:-Microarray
Ans: D
37:-The laboratory test useful for assessing the function of vWf is
A:-platelet aggregation test B:-prothrombin time C:-ristocetin aggregation test D:-clotting time
Ans: C
38:-Which one of the following is not a risk factor for developmental dysplasia of the hip?
A:-older sibling with DDH B:-the presence of spina bifida C:-female gender D:-severe ologohydraminos
Ans: C
39:-Subcutaneous fat necrosis in newborn is associated with
A:-hypernatremia B:-hypocalemea C:-hypercalcemea D:-hyponatremea
Ans: C
40:-Stein bergs sign is seen in
A:-Pseudoxanthoma elasticum B:-Ehlers Danlos syndrome C:-Marfan syndrome D:-Blooms syndrome
Ans: C
41:-Darier's sign is seen in
A:-Dermatophytosis B:-Histiocytosis C:-Mastocytosis D:-Pemphigus
Ans: C
42:-Child with frog like position and resistance to move the limbs has
A:-Scurvy B:-Rickets C:-Trauma D:-Congenital dislocation
Ans: A
43:-Paniculitis is
A:-Infection of the subcutaneous fat B:-Infection of the hair follicle
C:-Inflammation of epidermis D:-Infection of the sebaceous glands
Ans: A
44:-When does a child walk up and down stairs without help?
A:-13 months B:-15 months C:-18 months D:-24 months
Ans: D
45:-When do children perform a unilateral reach?
A:-4 months B:-6 months C:-7 months D:-8 months
Ans: B
46:-Net protein utilisation of egg is
A:-100 B:-95 C:-90 D:-80
Ans: A
47:-The term which encompasses the provision of splints and appliances which improve the function and appearance of a patient A:-Orthosis B:-Prosthetics
C:-Orthotics D:-Walking aids
Ans: C
48:-Profound hearing loss is hearing loss
A:-above 40 decibels B:-above 90 db C:-above 110 db D:-above 60 db
Ans: B
49:-Any loss or abnormality of psychological, physiological or anatomical structure or function is called
A:-disability B:-handicap C:-impairement D:-damage
Ans: C
50:-A 5 month old presented with hypoglycaemia, mild growth retardation, micropenis, the diagnosis can be
A:-Growth hormone deficiency B:-Fatty acid oxidation defect C:-Glycogen storage disorder D:-Hyperinsulinism
Ans: A
51:-The recurrence risk in AD inheritance is
A:-50% B:-25% C:-75% D:-100%
Ans: A
52:-Expressed and frozen breast milk before feeding the child can be
A:-microwaved B:-thawed by tepid water C:-boiled D:-kept outside until it is warm
Ans: B
53:-Adrenal calcification is seen in all except
A:-Wolman syndrome B:-In Cushing syndrome
C:-In those who recover from Water-house-Friederichsen syndrome D:-In neuroblastoma
Ans: B
54:-The "gold standard" for the treatment of retinopathy of prematurity is
A:-Vitrectomy B:-Anti VEGF agent Bevacizumab C:-Cryotherapy D:-Laser photocoagulation
Ans: D
55:-Hall's criteria for Down syndrome include all except
A:-hypotonia B:-poor moro reflex C:-three fontanels D:-joint hyper flexibility
Ans: C
56:-Friedreich ataxia is caused by a mutation of a gene locus on which chromosome
A:-Chromosome 4 B:-Chromosome 9 C:-Chromosome 14 D:-Chromosome 19
Ans: B
57:-A boy with intractable seizures is referred for seizure management. A work up reveals mesial temporal lobe epilepsy with hippocampal sclerosis. What is the most appropriate management?
A:-continuous intravenous benzodiazepine B:-ketogenic diet
C:-temporal lobe resection D:-high dose phenytoin
Ans: C
58:-Which of the following has the highest glycaemic index?
A:-Biscuit B:-Potato C:-Dextrose D:-Bread
Ans: C
59. X-ray of the skull in an infant shows periventricular calcification in
(a) Tuberculous meningitis (b) Cytomegalovirus infection (c) Japanese B encephalitis (d) Congenital syphilis
Ans: B
60. A seven year old child presents with intermittent claudication, pain and weakness of legs and dyspnea on running. Examination shows delayed and weak femorals compared to brachial arteries. The heart size is normal with a left ventricular forcible apex. The most probable diagnosis is:
(a) Ventricular septal defect (b) Patent ductus arteriosus (c) Atrial septal defect (d) Coarctation of aorta
Ans: D
61. A seven day old baby presents with complaints of vomiting and diarrhoea. Examination reveals cataract in both the eyes and jaundice. What is the most probable diagnosis?
(a) Rh incompatibility (b) Galactosemia (c) Congenital rubella syndrome (d) Congenital syphilis
Ans: B
62. The treatment of choice for Guillain-Barre syndrome is:
(a) Corticosteroids (b) Intravenous immunoglobulins (c) Cyclosporins (d) ACTH
Ans: B
63. A 4 year old boy diagnosed as a case of sickle cell disease presents with pain and swelling of bones, marked in small bones of hand and feet along with severe pain in abdomen. Investigation reveals necrosis of femoral head and upper third of tibia. The symptoms have resolved after one week. The possible explanation is:
(a) Aplastic crisis (b) Sequestration crisis (c) Vaso-occlusive crisis (d) Hemolytic crisis
Ans: C
64. Match List I with List II and select the correct answer using the code given below the lists:
List 1 (Genetic disorder) List II (Genotype)
A. Down Syndrome 1. 47, XY, +21
B. Turner Syndrome 2. 46, XY
C. Noonan Syndrome 3. 46, XX, 5p -
D. Cri-du-chat Syndrome 4. 45, XO
5. 47, XXY
Code:
A B C D
(a) 1 4 2 3
(b) 1 4 5 3
(c) 3 1 2 4
(d) 3 1 5 4
Ans: A
65. With reference to Paediatrics, the following are true of breath holding spells except:
(a) They occur during inspiration (b) They are involuntary (c) Cyanosis may not occur (d) Bradycardia may occur
Ans: A
66. For an early infant diagnosis of HIV infection, which of the following tests is used as per national programme?
(a) ELISA (IgG antibody test) (b) DNA PCR test (c) p24 antigen test (d) CD4 count
Ans: B
67. A normal three year old baby should be able to do the following tasks except:
(a) Using hands and feet simultaneously (b) Riding tricycle (c) Copying a square (d) Using pair of scissors
Ans: C
68. A two year old child is admitted with history of fever for two weeks and convulsions for the last one day. CSF examination shows CSF pressure elevated to 30-40 cm H2O, clear CSF, lymphocytic pleocytosis (250 cells/mm3), elevated protein and low chloride levels. What is the most probable diagnosis?
(a) Pyogenic meningitis (b) Tubercular meningitis
(c) Acute encephalitis (d) Sabacute sclerosing panencephalitis(SSPE)
Ans: B
69. Features of Turner syndrome in childhood include the following except:
(a) Webbed neck (b) Cubitus valgus (c) Shield chest with widely spaced nipples (d) Polydactyly
Ans: D
70. The following drugs can be used as steroid sparing agents in the treatment of nephrotic syndrome in children except:
(a) Levamisole (b) Aspirin (c) Cyclophosphamide (d) Mycophenolate mofetil
Ans: B
71. In childhood acute lymphoblastic leukemia, the following are good prognostic factors except:
(a) Age between 1 and 9 years (b) Female sex (c) Leukocyte count less than 50,000/mm3 (d) Hypodiploidy
Ans: D
72. Match List I with List II and select the correct answer using the code given below the lists:
List I (Drugs for epilepsy) List II (Side effects dose-dependent)
A. Sodium volproate 1. Raised liver enzymes
B. Carbamazepine 2. Hirsutism
C. Phenytoin 3. Hyperactivity
D. Phenobarbitone 4. Drowsiness
Code: A B C D
(a) 1 4 2 3
(b) 1 4 3 2
(c) 4 1 2 3
(d) 4 1 3 2
Ans: A
73. The confirmatory diagnostic test for thalassemia carrier status is:
(a) Low haemoglobin level (b) Haemoglobin A2 more than 3.5%
(c) Foetal haemoglobin more than 10% (d) Positive osmotic fragility test
Ans: B
74. A three year old male child has a poor stream of urine and strains at micturition. After voiding, the bladder is still palpable. The patient should be advised
(a) Abdomen X-ray (b) Urine examination (c) Circumcision (d) Excretory urogram `
Ans: B
75. A two year old child has weight less than 3 SD ( less than 3 Z score) as per WHO growth chart and mid upper arm circumference less than 11 cm. What is the correct diagnosis for this child?
(a) Acute malnutrition (b) Chronic malnutrition
(c) Severe acute malnutrition (d) Moderate acute malnutrition
Ans: C
76. For a three year old male child, the height for age is 82% of the expected for that age and weight for height is 65% of the expected value. The child is labelled as:
(a) Normal (b) Wasted (c) Stunted (d) Wasted and stunted
Ans: D
77. Di-George syndrome: Clinical features include all except:
(A) Hyperparathyroidism (B) Vela cardio facial defect (C) Combined immunodeficiency (D) Conotruncal cardiac malformation.
Ans: A
78. Type-4 hypersensitivity include all except
(A) Anaphylactic reaction (B) Tuberculin test (C) Contact Dermatitis (D) Sarcoidosis
Ans: A
79. Most Dangerous dehydration is
(A) Hyponatremic (B) hypernatremia (C) Isonatremic (D) Non diarrheal cause
Ans: B
80. Normal Anion gap metabolic acidosis seen in all except:
(A) Diabetic ketoacidosis (B) Diarrhea (C) Proximal Renal tubular acidosis. (D) Chloride excess
Ans: A
81. Child draws triangle at what age?
(A) 3 years (B) 5 years (C) 6 years (D) 7 years
Ans: B
82. Grasp reflex appears at….week of gestation
(A) 7 weeks (B) 17 weeks (C) 27 weeks (D) 37 weeks
Ans: B
83. A child is able to build blocks of 5 cubes developmental age is
(A) 12 months (B) 15 months (C) 18 months (D) 24 months
Ans: C
84. Color vision develops at which month of age.
(A) 1 month (B) 3 months (C) 5 month (D) 7 months
Ans: B
85. When ICF and ECF of child become equal to adult person
(A) 1 year (B) 2 year (C) 3 year (D) 5 years
Ans: A
86. First sign of Puberty in girls
(A) Onset of Menstruation (B) Appearance of Pubic hair (C) Change of voice (D) Increase in breast size.
Ans: D
87. The Primary dentition begin to show teeth eruption by
(A) 6 weeks (B) 12 weeks (C) 6 moths (D) 12 months
Ans: C
88. Early strict toilet training can result in
(A) Nocturnal enuresis (B) Encopresis (C) Night terror (D) Tempor-tantrums.
Ans: B
89. A neonate is able to…
(A) Fix his gaze at a object 8 to 12 inches apart (B) Focus on Bright object (C) Lift his head &Chest one elbow (D) Roll from side to side
Ans: B
90. Child can throw a small ball at
(A) 12 months (B) 15 months (C) 18 months (D) 21 months
Ans: C
91. Non-Mandelian pattern of inheritance includes all except
(A) Mitochondrial inheritance (B) X-linked Dominant inheritance (C) Uni-Parental Disomy (D) Multi-factorial inheritance
Ans: B
92. Patau Syndrome Karyotyping is:
(A) Trisomy 15 (B) Trisomy 18 (C) Trisomy 11 (D) Trisomy 13
Ans: D
93. All are common in Down syndrome except
(A) Simian Crease (B) Clinodactyly (C) Mother’s age>35 yrs (D) Respiratory tract infection uncommon.
Ans: D
94. Common ocular manifestation of Trisomy 13
(A) Capillary Hemangioma (B) Bilateral micropthalmos (C) Neuro-fibroma (D) Dermoid cyst.
Ans: B
95. Glycogen storage disease with predominant muscle involvement
(A) Type-I (B) Type-II (C) Type-IV (D) Type-V
Ans: D
96. Gene for Wilson’s disease is on
(A) Long arm chromosome 13 (B) Long arm chromosome 6 (C) Short arm chromosome 13 (D) Short arm chromosome 6
Ans: A
97. Broncho pulmonary Dysplasia seen in all except..,
(A) Theophylline (B) Pre-maturity (C) Barotrauma (D) O2 therapy
Ans: A
98. What is deficient in exclusive breastfed baby
(A) Vit. A (B) Vit. B (C) Vit. C (D) Vit. D
Ans: D
99. Hind milk is richer in
(A) Carbohydrate (B) Fat (C) Protein (D) Minerals
Ans: B
100. Earlier manifestation of Rickets is..
(A) Craniotabes (B) Richetic Rosary (C) Harrison’s Sulcus (D) Pigeon’s chest.
Ans: A
A:-50% B:-25% C:-75% D:-100%
Ans: A
52:-Expressed and frozen breast milk before feeding the child can be
A:-microwaved B:-thawed by tepid water C:-boiled D:-kept outside until it is warm
Ans: B
53:-Adrenal calcification is seen in all except
A:-Wolman syndrome B:-In Cushing syndrome
C:-In those who recover from Water-house-Friederichsen syndrome D:-In neuroblastoma
Ans: B
54:-The "gold standard" for the treatment of retinopathy of prematurity is
A:-Vitrectomy B:-Anti VEGF agent Bevacizumab C:-Cryotherapy D:-Laser photocoagulation
Ans: D
55:-Hall's criteria for Down syndrome include all except
A:-hypotonia B:-poor moro reflex C:-three fontanels D:-joint hyper flexibility
Ans: C
56:-Friedreich ataxia is caused by a mutation of a gene locus on which chromosome
A:-Chromosome 4 B:-Chromosome 9 C:-Chromosome 14 D:-Chromosome 19
Ans: B
57:-A boy with intractable seizures is referred for seizure management. A work up reveals mesial temporal lobe epilepsy with hippocampal sclerosis. What is the most appropriate management?
A:-continuous intravenous benzodiazepine B:-ketogenic diet
C:-temporal lobe resection D:-high dose phenytoin
Ans: C
58:-Which of the following has the highest glycaemic index?
A:-Biscuit B:-Potato C:-Dextrose D:-Bread
Ans: C
59. X-ray of the skull in an infant shows periventricular calcification in
(a) Tuberculous meningitis (b) Cytomegalovirus infection (c) Japanese B encephalitis (d) Congenital syphilis
Ans: B
60. A seven year old child presents with intermittent claudication, pain and weakness of legs and dyspnea on running. Examination shows delayed and weak femorals compared to brachial arteries. The heart size is normal with a left ventricular forcible apex. The most probable diagnosis is:
(a) Ventricular septal defect (b) Patent ductus arteriosus (c) Atrial septal defect (d) Coarctation of aorta
Ans: D
61. A seven day old baby presents with complaints of vomiting and diarrhoea. Examination reveals cataract in both the eyes and jaundice. What is the most probable diagnosis?
(a) Rh incompatibility (b) Galactosemia (c) Congenital rubella syndrome (d) Congenital syphilis
Ans: B
62. The treatment of choice for Guillain-Barre syndrome is:
(a) Corticosteroids (b) Intravenous immunoglobulins (c) Cyclosporins (d) ACTH
Ans: B
63. A 4 year old boy diagnosed as a case of sickle cell disease presents with pain and swelling of bones, marked in small bones of hand and feet along with severe pain in abdomen. Investigation reveals necrosis of femoral head and upper third of tibia. The symptoms have resolved after one week. The possible explanation is:
(a) Aplastic crisis (b) Sequestration crisis (c) Vaso-occlusive crisis (d) Hemolytic crisis
Ans: C
64. Match List I with List II and select the correct answer using the code given below the lists:
List 1 (Genetic disorder) List II (Genotype)
A. Down Syndrome 1. 47, XY, +21
B. Turner Syndrome 2. 46, XY
C. Noonan Syndrome 3. 46, XX, 5p -
D. Cri-du-chat Syndrome 4. 45, XO
5. 47, XXY
Code:
A B C D
(a) 1 4 2 3
(b) 1 4 5 3
(c) 3 1 2 4
(d) 3 1 5 4
Ans: A
65. With reference to Paediatrics, the following are true of breath holding spells except:
(a) They occur during inspiration (b) They are involuntary (c) Cyanosis may not occur (d) Bradycardia may occur
Ans: A
66. For an early infant diagnosis of HIV infection, which of the following tests is used as per national programme?
(a) ELISA (IgG antibody test) (b) DNA PCR test (c) p24 antigen test (d) CD4 count
Ans: B
67. A normal three year old baby should be able to do the following tasks except:
(a) Using hands and feet simultaneously (b) Riding tricycle (c) Copying a square (d) Using pair of scissors
Ans: C
68. A two year old child is admitted with history of fever for two weeks and convulsions for the last one day. CSF examination shows CSF pressure elevated to 30-40 cm H2O, clear CSF, lymphocytic pleocytosis (250 cells/mm3), elevated protein and low chloride levels. What is the most probable diagnosis?
(a) Pyogenic meningitis (b) Tubercular meningitis
(c) Acute encephalitis (d) Sabacute sclerosing panencephalitis(SSPE)
Ans: B
69. Features of Turner syndrome in childhood include the following except:
(a) Webbed neck (b) Cubitus valgus (c) Shield chest with widely spaced nipples (d) Polydactyly
Ans: D
70. The following drugs can be used as steroid sparing agents in the treatment of nephrotic syndrome in children except:
(a) Levamisole (b) Aspirin (c) Cyclophosphamide (d) Mycophenolate mofetil
Ans: B
71. In childhood acute lymphoblastic leukemia, the following are good prognostic factors except:
(a) Age between 1 and 9 years (b) Female sex (c) Leukocyte count less than 50,000/mm3 (d) Hypodiploidy
Ans: D
72. Match List I with List II and select the correct answer using the code given below the lists:
List I (Drugs for epilepsy) List II (Side effects dose-dependent)
A. Sodium volproate 1. Raised liver enzymes
B. Carbamazepine 2. Hirsutism
C. Phenytoin 3. Hyperactivity
D. Phenobarbitone 4. Drowsiness
Code: A B C D
(a) 1 4 2 3
(b) 1 4 3 2
(c) 4 1 2 3
(d) 4 1 3 2
Ans: A
73. The confirmatory diagnostic test for thalassemia carrier status is:
(a) Low haemoglobin level (b) Haemoglobin A2 more than 3.5%
(c) Foetal haemoglobin more than 10% (d) Positive osmotic fragility test
Ans: B
74. A three year old male child has a poor stream of urine and strains at micturition. After voiding, the bladder is still palpable. The patient should be advised
(a) Abdomen X-ray (b) Urine examination (c) Circumcision (d) Excretory urogram `
Ans: B
75. A two year old child has weight less than 3 SD ( less than 3 Z score) as per WHO growth chart and mid upper arm circumference less than 11 cm. What is the correct diagnosis for this child?
(a) Acute malnutrition (b) Chronic malnutrition
(c) Severe acute malnutrition (d) Moderate acute malnutrition
Ans: C
76. For a three year old male child, the height for age is 82% of the expected for that age and weight for height is 65% of the expected value. The child is labelled as:
(a) Normal (b) Wasted (c) Stunted (d) Wasted and stunted
Ans: D
77. Di-George syndrome: Clinical features include all except:
(A) Hyperparathyroidism (B) Vela cardio facial defect (C) Combined immunodeficiency (D) Conotruncal cardiac malformation.
Ans: A
78. Type-4 hypersensitivity include all except
(A) Anaphylactic reaction (B) Tuberculin test (C) Contact Dermatitis (D) Sarcoidosis
Ans: A
79. Most Dangerous dehydration is
(A) Hyponatremic (B) hypernatremia (C) Isonatremic (D) Non diarrheal cause
Ans: B
80. Normal Anion gap metabolic acidosis seen in all except:
(A) Diabetic ketoacidosis (B) Diarrhea (C) Proximal Renal tubular acidosis. (D) Chloride excess
Ans: A
81. Child draws triangle at what age?
(A) 3 years (B) 5 years (C) 6 years (D) 7 years
Ans: B
82. Grasp reflex appears at….week of gestation
(A) 7 weeks (B) 17 weeks (C) 27 weeks (D) 37 weeks
Ans: B
83. A child is able to build blocks of 5 cubes developmental age is
(A) 12 months (B) 15 months (C) 18 months (D) 24 months
Ans: C
84. Color vision develops at which month of age.
(A) 1 month (B) 3 months (C) 5 month (D) 7 months
Ans: B
85. When ICF and ECF of child become equal to adult person
(A) 1 year (B) 2 year (C) 3 year (D) 5 years
Ans: A
86. First sign of Puberty in girls
(A) Onset of Menstruation (B) Appearance of Pubic hair (C) Change of voice (D) Increase in breast size.
Ans: D
87. The Primary dentition begin to show teeth eruption by
(A) 6 weeks (B) 12 weeks (C) 6 moths (D) 12 months
Ans: C
88. Early strict toilet training can result in
(A) Nocturnal enuresis (B) Encopresis (C) Night terror (D) Tempor-tantrums.
Ans: B
89. A neonate is able to…
(A) Fix his gaze at a object 8 to 12 inches apart (B) Focus on Bright object (C) Lift his head &Chest one elbow (D) Roll from side to side
Ans: B
90. Child can throw a small ball at
(A) 12 months (B) 15 months (C) 18 months (D) 21 months
Ans: C
91. Non-Mandelian pattern of inheritance includes all except
(A) Mitochondrial inheritance (B) X-linked Dominant inheritance (C) Uni-Parental Disomy (D) Multi-factorial inheritance
Ans: B
92. Patau Syndrome Karyotyping is:
(A) Trisomy 15 (B) Trisomy 18 (C) Trisomy 11 (D) Trisomy 13
Ans: D
93. All are common in Down syndrome except
(A) Simian Crease (B) Clinodactyly (C) Mother’s age>35 yrs (D) Respiratory tract infection uncommon.
Ans: D
94. Common ocular manifestation of Trisomy 13
(A) Capillary Hemangioma (B) Bilateral micropthalmos (C) Neuro-fibroma (D) Dermoid cyst.
Ans: B
95. Glycogen storage disease with predominant muscle involvement
(A) Type-I (B) Type-II (C) Type-IV (D) Type-V
Ans: D
96. Gene for Wilson’s disease is on
(A) Long arm chromosome 13 (B) Long arm chromosome 6 (C) Short arm chromosome 13 (D) Short arm chromosome 6
Ans: A
97. Broncho pulmonary Dysplasia seen in all except..,
(A) Theophylline (B) Pre-maturity (C) Barotrauma (D) O2 therapy
Ans: A
98. What is deficient in exclusive breastfed baby
(A) Vit. A (B) Vit. B (C) Vit. C (D) Vit. D
Ans: D
99. Hind milk is richer in
(A) Carbohydrate (B) Fat (C) Protein (D) Minerals
Ans: B
100. Earlier manifestation of Rickets is..
(A) Craniotabes (B) Richetic Rosary (C) Harrison’s Sulcus (D) Pigeon’s chest.
Ans: A
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